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Land Titling Computerization Project Assigned/Preferred

LRA Citizen’s Land Registration Portal User Account ID:

(“CLRP”) User Account Registration Form


LTCP Form 0068 version 2 (modified 2020.05.27)
Note: This form shall be used for requesting the creation of CLRP User Account from the various Registries of Deeds.

LRA Office/Registry of Deeds:

Account Type: ☐R
​ egular User ​☐ ​LRA Extension Office User

A. Requester’s Information (to be filled out by the Requester)

Requester’s Name: (​ Last Name, First Name, Middle Name) Mobile No.:

Requester’s Address: (​ House/Lot/Block No., Street, Subdivision/Village/Barangay, E-mail Address:


City/Municipality, Province)

List of Acceptable IDs: (Requester shall submit a photocopy of any of the following)

☐ Passport ☐ Persons with Disability (PWD) ID


☐ Land Transportation Office (LTO) Driver’s License ☐ Philippine Health Insurance Corporation (PhilHealth) ID
☐ Social Security System Unified Multi-Purpose Identification (SSS ☐ Tax Identification Number (TIN) Card
UMID) Card ☐ Postal ID
☐ Professional Regulatory Commission (PRC) ID ☐ Government Service Insurance System (GSIS) Card
☐ Commission on Elections (COMELEC) Voter's ID ☐ Other National Government-issued ID
☐ Senior Citizen ID ☐ Other Local Government-issued ID

B. Data Privacy Notice and Acknowledgement

Data Privacy Notice: In relation to Republic Act 10173, and its Implementing Rules and Regulations (Section
21 and 22), and by applying for the creation of LRA’s Citizen Land Registration Portal (“CLRP”) User Account,
the undersigned gives consent to the LRA and its Registries of Deeds (collectively, the “LRA”) to collect and
store the above data into its System. Further, the undersigned acknowledges and understands that the
created user account shall be his/her sole responsibility, therefore makes the undersigned accountable for its
confidentiality and the consequences of its use.

By:
________________________________________
Name and Signature of Requester / Date

Distribution List: ​Copy 1 - RD / Copy 2 - LRA Classification: ​Confidential

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